MR. Bartimaeus Alan, LMT, ACMT

NPI #1699178715 in Post Falls, Idaho

Provider Information

NPI Number: 1699178715
Entity Type: Individual
Name: MR. Bartimaeus Alan, LMT, ACMT
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Specialist
Credential: LMT, ACMT
Enumeration Date: Oct 2, 2014
Last Updated: Oct 2, 2014

Practice Location

Address: 4718 E HORSEHAVEN AVE
City: Post Falls
State: Idaho
ZIP Code: 83854-4658
Phone: (208) 704-0468

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist	174400000X	Primary

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